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lcems phase one > All lcems drugs > Flashcards

All lcems drugs Flashcards

1
Q

Adenosine (Adenocard) Antiarrhythmic indications

A
  1. · Stable Narrow-Complex Tachycardia
  2. Supraventricular Tachycardia
  3. Paraoxsysmal Supraventricular Tachycardia
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2
Q

Adenosine (Adenocard) Antiarrhythmic contra

A
  1. · Known Atrial Fibrillation or Flutter
  2. 2nd and 3rd Degree Heart Block
  3. Sick Sinus Syndrome
  4. KnownAllergy/Hypersensitivity
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3
Q

Adenosine (Adenocard) Antiarrhythmic adverse affects

A
  1. · Chest Pain
  2. Transient Asystole
  3. Palpitations
  4. Headache
  5. Facial Flushing
  6. Dyspnea
  7. Dizziness
  8. Nausea/Vomiting
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4
Q

Albuterol (Proventil) (Ventolin) Bronchodilator, Selective Beta2 Agonist indications

A
  1. · Reactive Airway Disease
  2. Anaphylaxis
  3. Toxic Fume Inhalation
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5
Q

Albuterol (Proventil) (Ventolin) Bronchodilator, Selective Beta2 Agonist contraindications

A
  1. · Symptomatic Tachycardia
  2. Ischemic Chest Pain KnownAllergy/Hypersensitivity
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6
Q

Albuterol (Proventil) (Ventolin) Bronchodilator, Selective Beta2 Agonis side effects

A
  1. Anxiety
  2. Dizziness
  3. Palpitations
  4. Paradoxical Bronchospasm
  5. Tachycardia
  6. tremors Nausea/Vomiting
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7
Q

Amiodarone (Cordarone) Antiarrhythmic, Sodium, Calcium, and Potassium Channel Blocker indications

A
  1. Ventricular Fibrillation
  2. Wide-Complex Tachycardia
  3. Pulseless Ventricular Tachycardia
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8
Q

Amiodarone (Cordarone) Antiarrhythmic, Sodium, Calcium, and Potassium Channel Blocke contraindications

A
  1. Hypotension
  2. 2nd and 3rd Degree Heart Block
  3. Congestive Heart Failure
  4. Symptomatic Bradycardia
  5. KnownAllergy/Hypersensitivity
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9
Q

Amiodarone (Cordarone) Antiarrhythmic, Sodium, Calcium, and Potassium Channel Blocker side affects

A
  1. AV Conduction Abnormalities
  2. Bradycardia
  3. Headache
  4. Hypotension
  5. Torsade de pointes
  6. Nausea/Vomiting
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10
Q

Aspirin (None) NSAID, Platelet Aggregation Inhibitor, Antipyretic indications

A
  1. Ischemic Chest Pain
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11
Q

Aspirin (None) NSAID, Platelet Aggregation Inhibitor, Antipyretic contraindications

A

· Bleeding Disorders · Gastrointestinal Bleeding · Peptic Ulcer Disease KnownAllergy/Hypersensitivity

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12
Q

Aspirin (None) NSAID, Platelet Aggregation Inhibitor, Antipyretic side effects

A

· Anaphylaxis · Occult Bleeding · Gastrointestinal Irritation · Tinnitus Nausea/Vomiting

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13
Q

Atropine Sulfate (Atropen) Parasympathetic Blocker, Anticholinergic indications

A

· Symptomatic Bradycardia (pulse producing) · Heart Blocks · Organophosphate Poisoning · Nerve Agent Exposure

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14
Q

Atropine Sulfate (Atropen) Parasympathetic Blocker, Anticholinergic contraindications

A

None in Emergency Situations

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15
Q

Atropine Sulfate (Atropen) Parasympathetic Blocker, Anticholinergic side effects

A

· Blurred Vision · Dilated Pupils · Dizziness · Dry Mucus Membranes · Palpitations · Reflex Bradycardia · Tachycardia Nausea/Vomiting

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16
Q

Dextrose (D10%) (D25%) (D50%) (InstaGlucose - oral) Glucose, Caloric Supplement indications

A

· Hypoglycemia

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17
Q

Dextrose (D10%) (D25%) (D50%) (InstaGlucose - oral) Glucose, Caloric Supplemen contraindications

A

· Intracranial Hemorrhage InstaGlucose:InabilitytoProtectAirway (swallowormanagesecretions)

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18
Q

Dextrose (D10%) (D25%) (D50%) (InstaGlucose - oral) Glucose, Caloric Supplemen Side effects

A

· Extravasation Injury · Hyperglycemia · Tissue Necrosis · Thrombophlebitis ReboundHypoglycemia

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19
Q

Diltiazem (Cardizem) Calcium Channel Blocker Indications

A

· Atrial Fibrillation with Rapid Ventricular Response · Atrial Flutter · Refractory Paroxysmal Supraventricular Tachycardia

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20
Q

Diltiazem (Cardizem) Calcium Channel Blocker contraindications

A

· Hypotension/Hypoperfusion · 2nd and 3rd Degree Heart Block · Ventricular Tachycardia · Wolfe-Parkinson White Syndrome KnownAllergy/Hypersensitivity

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21
Q

Diltiazem (Cardizem) Calcium Channel Blocker Side effects

A

· Asystole · Bradycardia · Dizziness · Heart Blocks · Hypotension Nausea/Vomiting

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22
Q

Diphenhydramine (Benadryl) Antihistamine (H1), Anticholinergic, Antiemetic indications

A

· Allergic Reactions · Anaphylaxis · Motion Sickness/Nausea · Dystonia/Extrapyramidal Symptoms (EPS)

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23
Q

Diphenhydramine (Benadryl) Antihistamine (H1), Anticholinergic, Antiemetic contraindications

A

Known Allergy/Hypersensitivity

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24
Q

Diphenhydramine (Benadryl) Antihistamine (H1), Anticholinergic, Antiemetic Side effects

A

· Central Nervous System Depression · Palpitations · Tachycardia · Thickened Bronchial Secretions Nausea/Vomiting

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25
Q

Epinephrine (Adrenalin) (EpiPen) (EpiPen, Jr) Sympathomimetic, Alpha & Beta Adrenergic Agonist Indications

A

· CardioPulmonary Arrest · Anaphylaxis · Reactive Airway Disease · Pediatric Croup · Bradycardia · Shock

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26
Q

Epinephrine (Adrenalin) (EpiPen) (EpiPen, Jr) Sympathomimetic, Alpha & Beta Adrenergic Agonist Contraindications

A

· Anxiety · Chest Pain · Headache · Palpitations · Tachycardia · Tremors · Ventricular Ectopi Nausea/Vomiting

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27
Q

Fentanyl (Sublimaze) Narcotic Analgesic Indications

A

· Pain Management

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28
Q

Fentanyl (Sublimaze) Narcotic Analgesic Contraindications

A

· Intoxication · Pregnancy · Stroke KnownAllergy/Hypersensitivity

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29
Q

Fentanyl (Sublimaze) Narcotic Analgesic Side effects

A

· Bradycardia · Hypotension · Rigid Chest Wall Syndrome Nausea/Vomiting

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30
Q

Glucagon (Glucagen) Pancreatic Hormone Indications

A

Hypoglycemia without vascular access

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31
Q

Glucagon (Glucagen) Pancreatic Hormone Contraindications

A

Known Allergy/Hypersensitivity

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32
Q

Glucagon (Glucagen) Pancreatic Hormone Side effects

A

· Hypotension · Palpitations · Tachycardia · Nausea/Vomiting

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33
Q

Hydroxocobalamin (Cyanokit) Cyanide Poisoning Antidote Indications

A

· Smoke Inhalation · Suspected or Known Cyanide Poisoning

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34
Q

Hydroxocobalamin (Cyanokit) Cyanide Poisoning Antidote Contraindications

A

None in Emergency Situations

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35
Q

Hydroxocobalamin (Cyanokit) Cyanide Poisoning Antidote Side effects

A

· Headache · Chromaturia (Red Urine) · Erythemia/Skin Rash · Facial Flushing · Diarrhea Nausea/Vomiting

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36
Q

Ipratropium Bromide (Atrovent) (Duoneb – when premixed with Albuterol) Bronchodilator, Anticholinergic Indications

A

· Reactive Airway Disease · Anaphylaxis · Toxic Fume Inhalation

37
Q

Ipratropium Bromide (Atrovent) (Duoneb – when premixed with Albuterol) Bronchodilator, Anticholinergic contraindications

A

Known Allergy/Hypersensitivity

38
Q

Ipratropium Bromide (Atrovent) (Duoneb – when premixed with Albuterol) Bronchodilator, Anticholinergic Side effects

A

· Blurred Vision · Coughing · Chest Pain · Dizziness · Dry Mucus Membranes · Palpitations · Paradoxical Bronchospasm · Tachycardia · Tremors Nausea/Vomiting

39
Q

Ketamine (Ketalar) Dissociative Anesthetic, Sedative, Analgesic Indications

A

· Excited Delirium Syndrome (ExDS) · Procedural Sedation

40
Q

Ketamine (Ketalar) Dissociative Anesthetic, Sedative, Analgesic Contraindications

A

· Catecholamine Depleted States (Cardiogenic Shock, Cardiac Transplant Candidate) KnownAllergy/Hypersensitivity

41
Q

Ketamine (Ketalar) Dissociative Anesthetic, Sedative, Analgesic side effects

A

· Emergence Phenomenon · Hypersalivation · Laryngospasm · Transient Hypertension · Transient Tachycardia Nausea/Vomiting

42
Q

Lidocaine (Xylocaine) Anesthetic, Antiarrhythmic Indications

A

· Intraosseous Anesthetic

43
Q

Lidocaine (Xylocaine) Anesthetic, Antiarrhythmic Contraindications

A

· 2nd and 3rd Degree Heart Block · Bradycardia KnownAllergy/Hypersensitivity

44
Q

Lidocaine (Xylocaine) Anesthetic, Antiarrhythmic Side effects

A

· Confusion · Facial Flushing · Injection Site Burning/Pain · Muscle Spasms · Seizures Nausea/Vomiting

45
Q

Magnesium Sulfate (none) Intracellular Electrolyte, Calcium Channel Blocker Indications

A

· Torsades de Pointes · Reactive Airway Disease · Eclampsia Seizure

46
Q

Magnesium Sulfate (none) Intracellular Electrolyte, Calcium Channel Blocker Contraindications

A

2nd and 3rd Degree Heart Block · Patients on Digitalis KnownAllergy/Hypersensitivity

47
Q

Magnesium Sulfate (none) Intracellular Electrolyte, Calcium Channel Blocker Side effects

A

· Central Nervous System Depression · Hypotension · Respiratory Depression Nausea/Vomiting

48
Q

Methylprednisolone (Solumedrol) Glucocorticoid Steroid Indications

A

· Reactive Airway Disease · Anaphylaxis

49
Q

Methylprednisolone (Solumedrol) Glucocorticoid Steroid Contradindications

A

Known Hypersensitivity

50
Q

Methylprednisolone (Solumedrol) Glucocorticoid Steroid Side effects

A

· Dizziness · Hypertension · Gastrointestinal Irritation · Vertigo · Nausea/Vomiting

51
Q

Midazolam (Versed) Benzodiazepine, Anticonvulsant, Sedative Indications

A

· Seizure Disorders · Excited Delirium Syndrome Emergence

52
Q

Midazolam (Versed) Benzodiazepine, Anticonvulsant, Sedative Contraindications

A

· Hypotension KnownAllergy/Hypersensitivity

53
Q

Midazolam (Versed) Benzodiazepine, Anticonvulsant, Sedative Side effects

A

· Bradycardia · Bronchospasm · Central Nervous System Depression · Laryngospasm · Hypotension Nausea/Vomiting

54
Q

Naloxone (Narcan) (Evzio) Narcotic Antagonist Indications

A

· Opioid Overdose

55
Q

Naloxone (Narcan) (Evzio) Narcotic Antagonist Contraindications

A

· Advanced Airway Management Known Allergy/Hypersensitivity

56
Q

Naloxone (Narcan) (Evzio) Narcotic Antagonist Side effects

A

· Cardiac Arrhythmias · Pulmonary Edema · Seizures · Skeletal Tremors · Violent Behavior Nausea/Vomiting

57
Q

Nitroglycerin (Nitrostat) (Nitrobid) (Nitropaste) (Tridal) Vasodilator, Antianginal, Smooth Muscle Relaxant indications

A

· Acute Coronary Syndromes · Unstable Angina · STEMI · Congestive Heart Failure/Pulmonary Edema

58
Q

Nitroglycerin (Nitrostat) (Nitrobid) (Nitropaste) (Tridal) Vasodilator, Antianginal, Smooth Muscle Relaxant Contraindications

A

· Hypotension (SBP <90mmHg) · Severe bradycardia or tachycardia · Right Ventricular Infarct · Erectile Dysfunction Medication intake in the past 48 hours KnownAllergy/Hypersensitivity

59
Q

Nitroglycerin (Nitrostat) (Nitrobid) (Nitropaste) (Tridal) Vasodilator, Antianginal, Smooth Muscle Relaxant Side effects

A

· Dizziness · Facial Flushing · Headache · Hypotension · Palpitations Nausea/Vomiting

60
Q

Ondansetron (Zofran) Antiemetic, Serotonin Antagonist Indications

A

· Nausea/Vomiting

61
Q

Ondansetron (Zofran) Antiemetic, Serotonin Antagonist contraindications

A

· Prolonged QT Syndrome KnownAllergy/Hypersensitivity

62
Q

Ondansetron (Zofran) Antiemetic, Serotonin Antagonist Side effects

A

· Hypotension · Tachycardia · Extrapyramidal Syndrome · Facial Flushing · Fever · Headache · Seizure Prolonged QTInterval

63
Q

Pralidoxine (2-Pam) (Protopam Chloride) (Duodote – when premixed with Atropine) Nerve Agent Antidote Indications

A

· Nerve Agent Exposure · Organophosphate Poisoning

64
Q

Pralidoxine (2-Pam) (Protopam Chloride) (Duodote – when premixed with Atropine) Nerve Agent Antidote Contraindications

A

None in Emergency Situations

65
Q

Pralidoxine (2-Pam) (Protopam Chloride) (Duodote – when premixed with Atropine) Nerve Agent Antidote Side effects

A

· Blurred Vision · Dilated Pupils · Dizziness · Dry Mucus Membranes · Palpitations · Tachycardia Nausea/Vomiting

66
Q

Sodium Bicarbonate (none) Alkanlinizing Buffer Agent Indications

A

· CardioPulmonary Arrest · Metabolic Acidosis · Tricyclic Overdose KnownHyperkalemia

67
Q

Sodium Bicarbonate (none) Alkanlinizing Buffer Agent Contraindications

A

Alkalosis

68
Q

Sodium Bicarbonate (none) Alkanlinizing Buffer Agent Side effects

A

· Metabolic Acidosis May crystallize in IV solutions when mixedwith Epinephrine

69
Q

Thiamine (Vitamin B1) Carbohydrate Metabolite INdications

A

· Adults with evidence of alcohol abuse or signs of malnourishment prior to the administration of Dextrose

70
Q

Thiamine (Vitamin B1) Carbohydrate Metabolite Contraindications

A

Known Allergy/Hypersensitivity

71
Q

Thiamine (Vitamin B1) Carbohydrate Metabolite Side effects

A

None

72
Q

acute pain Fentanyl -audlt

A

1mcg/kg IV, IO, IM, IN; repeat q 10minutes PRN

73
Q

acute pain Fentanyl pedi

A

: Fentanyl 0.5mcg/kg IV, IO, IM, IN; repeat q 10minutes PRN

74
Q

Intraosseous (EZ-IO) Device Comfort: Lidocaine

A

40mg IO over 2minutes; allow to dwell in IO space for 60seconds, followed by 5 – 10 mL normal saline flush

75
Q

Pediatric: Lidocaine

A

0.5mg/kg (40mg maximum) IO over 2minutes; allow to dwell in IO space for 60seconds, followed by 2.5 – 5mL normal saline flush

76
Q

Magnesium Sulfate

A

2gm in 100cc D5W IV Infusion over 10 minutes

77
Q

Pediatric: Magnesium Sulfate

A

50mg/kg in 100cc D5W IV Infusion over 10 minutes

78
Q

Methylprednisolone

A

125mg SIVP

79
Q

Pediatric: Methylprednisolone

A

2mg/kg SIVP (maximum dose 125mg)

80
Q

Dyphenhydramine dose for allergic reaction/anaphylaxis/motion sickness

Adult

A

50 mg iv/im

81
Q

Dyphenhydramine dose for allergic reaction/anaphylaxis/motion sickness

Pediatric

A

1 mg /kg /iv/im

82
Q

Dyphenhydramine dose for Dystonia/extrapyramidal symptoms

A

50 mg iv/io

83
Q

Dextrose/ D10

Indications

A

Hypoglycimia

84
Q

Dextrose/ D10

contraindications

A
  1. Intracranial hemmorage
  2. Instaglucose:inability to protect airway( swallow or manage secretions)
85
Q

Dextrose/ D10

side effects

A
  1. Extravasation injury
  2. Hyperglycemia
  3. Tissue necrosis
  4. thrombophlebitis
  5. rebound hypoglycemia
86
Q

Dextrose/ D10

dose

A
  • 125- 250 ml ( 12.5 grams- 25 grams)
  • Titrated to effect and stop after bgl is over 60 and mentation has returned.
87
Q

Oral glucose

Dose

A

15- 30 grams po

88
Q

Thiamine

Dose

A

100 mg iv/im

lcems phase one (5 decks)

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